Racial disparities in access to simultaneous pancreas-kidney transplantation in the United States

Racial disparities in access to simultaneous pancreas-kidney transplantation in the United States
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DOI:
10.1053/ajkd.2000.9793
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发表时间:
2000-09-01
影响因子:
13.2
通讯作者:
Pruett, TL
Pruett, TL
中科院分区:
医学1区
文献类型:
--
作者:
Isaacs, RB;Lobo, PI;Pruett, TL

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我们研究的目的是评估获得同步胰肾(SPK)移植的种族差异程度,并评估社会经济因素对移植获得的潜在影响。我们对美国肾脏数据系统和联合器官共享网络1988年至1996年所有因糖尿病导致的终末期肾病(ESRD)患者(0 = 562,814)的数据进行了回顾性分析,包括所有透析、候补名单和移植患者,计算了发病率、患病率、保险范围、就业状况和移植率的种族差异。白种人由 1 型糖尿病引起的 ESRD 患病率最高 (73%),其次是黑人 (22%)、西班牙裔 (3%)、美洲原住民 (2%) 和其他人(
The purpose of our study is to assess the extent of racial differences in the access to simultaneous pancreas-kidney (SPK) transplantation and evaluate the potential influence of socioeconomic factors on access to transplantation. We performed a retrospective analysis of the US Renal Data System and United Network for Organ Sharing data on all patients with end-stage renal disease (ESRD) due to diabetes mellitus from 1988 to 1996 (0 = 562,814), including all dialysis, wait list, and transplant patients, Racial differences in incidence, prevalence, insurance coverage, employment status, and transplantation rates were calculated. Caucasians had the highest prevalence of ESRD caused by type 1 diabetes (73%), followed by blacks (22%), Hispanics (3%), Native Americans (2%), and others (